Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Superior, CO

NPI number 1902296973 Active

Practice location

600 Marshall Rd
Superior, CO 80027-9730

Call (720) 587-1001 Map

Fax (720) 587-1005

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

12 other providers at this address

Other eyewear supplier providers in Superior

Luxottica of America IncEyewear Supplier Superior, CO NPI 1982755518

See all in Superior →

NPI record

NPI: 1902296973
Entity type: Organization (Type 2)
Issued: Jan 29, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #480 · doing business as
Costco Optical #480 · doing business as

Authorized official

Art Salas
AVP Optical
(720) 587-1001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902296973

Costco Wholesale Corporation's National Provider Identifier is 1902296973, issued on Jan 29, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Superior, CO. The record was last updated on Jun 11, 2020.